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Topic:Disease Management
Disease management in horses encompasses the strategies and practices employed to prevent, control, and treat diseases affecting equine populations. This field involves understanding the etiology, transmission, and clinical presentation of various equine diseases, as well as implementing biosecurity measures and therapeutic interventions. Common diseases in horses include equine influenza, strangles, and equine herpesvirus. Effective disease management relies on accurate diagnosis, vaccination protocols, and the use of antimicrobials and other treatments. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, challenges, and advancements in managing diseases in equine health.
Canagliflozin treatment of a horse with hyperinsulinemia, including pharmacokinetic analysis of different dosing protocols: a case report. Laminitis is a complex and painful disease of the equine foot. Insulin dysregulation (ID) resulting in hyperinsulinemia is responsible for more than 90% of cases in the general horse and pony population. Sodium-glucose cotransporter 2 inhibitors (SGLT2i) are a relatively new class of drug that has gained considerable popularity as an off-label treatment of hyperinsulinemia-associated laminitis (HAL) in horses when traditional management changes and treatments are unsuccessful. In Canada, canagliflozin is the SGLT2i most available to equine veterinarians; although no dosing protocols have been ...
Combined treatment with valacyclovir and heparin reduced the incidence of equine herpesvirus myeloencephalopathy and improved survival in naturally occurring equine herpesvirus-1 outbreaks. Describe the effects and outcomes of valacyclovir and heparin administration in equine herpesvirus-1 (EHV-1)-exposed horses. Unassigned: A multicenter retrospective study identified 111 horses naturally exposed to EHV-1 from August 2017 to March 2018. Equine herpesvirus-1 infection was confirmed via blood or nasal secretion PCR. Horses that developed neurologic signs were diagnosed with equine herpesvirus myeloencephalopathy (EHM). Clinical signs, treatment, and survival were reported. A subset of horses was treated with valacyclovir and heparin. Prophylactic medication administration was perf...
Diagnostic Ultrasound of the Equine Liver. Ultrasound is readily available to most practitioners and can be used in a straightforward manner to assess the liver. The liver can be assessed for size, shape, echogenicity, and architecture. Findings such as masses, cysts, granulomas, and biliary distention can be relatively specific as to suspected disease process. Other findings may be nonspecific but are useful to confirm concerns and aid in refining differential diagnosis. Findings should be interpreted considering the clinicopathologic picture and sampling performed when appropriate. Ultrasound can and should be used to identify optima...
Validation of an improved insect bite hypersensitivity severity score for allergic equine insect bite hypersensitivity in horses. Insect bite hypersensitivity (IBH) is the most common allergic skin disease in horses, but existing clinical scoring systems lack extensive validation, limiting standardized disease monitoring and therapeutic evaluation. Objective: Develop and validate a standardized, sensitive, and reproducible clinical scoring system for IBH in horses. Methods: Forty-four privately-owned horses with clinically diagnosed IBH examined under field conditions in Switzerland. Methods: In this prospective field validation study, the equine IBH severity score (EqIS) integrates a lesion severity score and an area sc...
Synovial fluid oxidative stress index as a biomarker for arthritis severity in thoroughbred racehorses. Arthritis is a major cause of lameness in racehorses. Even when lameness improves, it may recur after training resumes, making it difficult to determine the disease state and when to end treatment. This retrospective observational study examined whether oxidative stress in synovial fluid could assess arthritis status in racehorses. Synovial fluid samples obtained during routine clinical practice from horses with arthritis and control samples obtained from horses without clinical or radiographic evidence of carpal joint disease were retrospectively analyzed. A total of 72 Thoroughbreds in Japan...
An Investigation of the Role of Ridden Exercise, Including Application of the Ridden Horse Pain Ethogram, in Pre-Purchase Examinations of Sports Horses. Many horses undergo a pre-purchase examination (PPE) prior to acquisition by a new owner; however, despite evidence that lameness and canter dysfunction may only be apparent during ridden exercise, ridden exercises assessing gait quality is not a routine part of PPEs. The objectives were to determine the influence of the results of ridden exercise on decision-making concerning risk assessment for purchase and to establish the long-term performance of horses. Twenty-five sports horses underwent PPEs including ridden exercises to assess gait quality and to apply the Ridden Horse Pain Ethogram (R...
A Comprehensive Review of the Equine Gut Microbiome in Health and Disease. Molecular microbiology has revolutionized our understanding of the complex host-associated microbiomes required for normative development and physiology. Horses and other members of the family are particularly reliant on the early maturation and lifelong maintenance of an unusually rich hindgut microbiome for optimal digestion and overall health and performance. Research on the equine gut microbiome has accelerated in the past several years, necessitating a renewed appraisal of the field. The present work is a comprehensive and critical review of the literature regarding the bacterial gastroi...
Using a wearable electrocardiogram (ECG) patch adapted for 7-day monitoring in the horse. Arrhythmias can cause poor performance and sudden death in horses. Long-term (>24 h) electrocardiogram (ECG) monitoring has been used to identify arrhythmias in humans and is superior to short-term monitoring for transient arrhythmia detection. Televet is the current equine gold-standard ECG device. The Cardea SOLO™ (CS) is a single-use monitor with automated ECG analysis software allowing ECG monitoring for 7 days. Objective: Our objective was to validate the performance of the CS compared to the Televet. Methods: Method validation. Methods: ECGs were performed on 12 healthy horses s...
Vietnam’s Horse Sector: A Comprehensive Review of History, Production Systems, Health Challenges, and Research Priorities. Horses in Vietnam have a long historical presence and continue to hold economic, socio-cultural, and medicinal importance across diverse regions. Despite these roles, comprehensive scientific information on equine development, including health and disease patterns, reproductive performance, genetic resources, and biomedical applications, remains limited and fragmented. In this review, we summarize existing knowledge on equine populations, production systems, and their development in Vietnam, as well as their roles in cultural practices, livelihoods, and traditional medicine. We then identify m...
A point-based laminitis risk scoring system and machine learning framework for prediction of laminitis in horses. Laminitis is a painful and potentially life-threatening inflammatory condition of the equine hoof, and its detection remains a major challenge in veterinary practice. Although several risk factors have been reported, the prediction of the onset of laminitis in a subclinical stage using routine clinical data is still limited. This study aims to address this gap by developing an interpretable machine learning (ML) framework for the prediction of the risk of laminitis in horses. A point-based risk scoring system was first constructed using multivariate logistic regression to quantify the contribu...
Dental disorders are associated with minimal synovial changes in the temporomandibular joint in horses. Dental disorders have been proposed as factors contributing to temporomandibular joint (TMJ) discomfort in horses, but objective evidence linking these conditions to synovial fluid alterations remains limited. This study evaluated whether the severity of dental abnormalities influences the physicochemical and cytological characteristics of TMJ synovial fluid and whether occlusal adjustment induces measurable synovial changes over time. Unassigned: Thirty-three horses were assigned to mild, moderate, or severe dental abnormality groups. Synovial fluid was collected bilaterally from the discotem...
Umbilical vein marsupialization in foals-short literature review. Umbilical remnant infections are common in neonatal foals and may involve one or more umbilical structures. Diagnosis relies on thorough clinical examination, ultrasonography, and hematologic evaluation. Standard care includes broad-spectrum antibiotics, with surgical resection if conservative therapy fails. Omphalophlebitis may extend to the liver, prompting consideration of umbilical vein marsupialization. Surgery is performed in dorsal recumbency with a fusiform incision around the umbilicus. The umbilical arteries and urachus are ligated and transected, with partial cystectomy when indicat...
Equine cyathostomins-Hidden histories. Cyathostomins (also known as small strongyles or small redworms) are ubiquitous parasites of equids. They are found in a wide range of climatic regions, and inhabit the large intestine of their hosts. While infections are often sub-clinical, clinical consequences ranging from chronic to acute, and most notably, acute larval cyathostominosis, can occur in specific circumstances. Control of cyathostomin infection is complicated by widespread drug resistance. This Chapter provides a broad review of cyathostomin biology and host-parasite relationships, and also highlights significant knowledge gap...
Antibiotics in Veterinary Ophthalmology: Resistance, Stewardship, and Emerging Antibiotic-Sparing Strategies. Antimicrobial resistance (AMR) is a growing challenge in veterinary ophthalmology, particularly in cases of bacterial keratitis, where progressive stromal infection can threaten vision and globe integrity within hours to days. This review synthesizes current evidence on pathogen distribution, antimicrobial susceptibility profiles, multidrug resistance (MDR) prevalence, and determinants of nonsusceptibility in veterinary patients, highlighting the emerging role of antibiotic-sparing alternatives. Across contemporary studies, Staphylococcus pseudintermedius, β-hemolytic streptococci, and Pseud...
Ulcerative dermatitis, tendinitis, tenosynovitis, and desmitis caused by chronic infection with Serratia odorifera in a racehorse. We investigated a case of severe infection in a racehorse. The horse had developed progressive lameness associated with swelling of the left tarsal region, which progressed to ulcerative dermatitis, tendinitis, tenosynovitis, and desmitis. The plantar side of the superficial digital flexor (SDF) tendon was visible through the skin ulcer, and coalescing nodules were present in the dermis. The horse was euthanized and an autopsy was performed. Grossly, in addition to the changes described above, severe edema of the soft tissues was associated with the ulcer. Microscopically, necrotizing and ulc...
Integrated transcriptomic profiling reveals oncogenic pathways and chimeric transcripts in equine sarcoid lesions with predominant BPV1 detection. Sarcoids are the most common cutaneous tumors in horses, representing up to 90% (35%-90%) of skin neoplasms. Mostly caused by Bovine Papillomavirus (BPVs) infections, sarcoids are highly resistant to therapy and prone to recurring, posing a significant threat to equine health. The aim of this study is to explore molecular pathogenetic mechanisms underlying the development of equine sarcoids, by applying transcriptomic approach. After testing samples for viral DNA, both mRNA and small RNA expression was analyzed via high-throughput Illumina sequencing comparing 12 sarcoids and 12 healthy skin s...
The effects of upper airway obstruction on oxygen consumption and ventilatory variables in Colombian criollo horses. While conditions associated with upper airway obstruction (UAO) are reported in Colombian Criollo horses, their effect on ventilation and performance is unknown. Objective: To investigate how oxygen consumption ($dot{rm V}$O2), ventilation,, and exercise-induced pulmonary hemorrhage (EIPH) are affected by UAO in horses performing at natural gaits. Methods: Twenty-three client-owned Colombian Criollo horses. Methods: A cross-sectional observational study assigned horses to a control (C), or UAO group after overground endoscopy. All horses performed a standardized submaximal exercise test while ...
Parascaris spp. induced surgical colic in juvenile horses-A Scandinavian perspective. Parascaris spp. commonly infects foals, and high burdens can cause fatal small intestinal impactions. Progressive anthelmintic resistance poses a risk for an increase of Parascaris spp. related disease in juvenile horses. Objective: To investigate Parascaris-related surgical intestinal lesions, with special emphasis on ascarid impactions, in Scandinavia by exploring (1) disease occurrence and (2) short-term survival rates after laparotomy in affected foals and yearlings. Methods: Restrospective case series. Methods: A retrospective clinical record search was conducted at six Scandinavian equin...
The Occurrence of Bacterial Infections in Equine Wounds and Abscesses in Horses from 2019 to 2023. Bacterial infections in equine wounds are common and can complicate treatment and healing. This five-year retrospective study examined 2844 samples from wounds and abscesses from horses in Germany (2019-2023), analyzing bacterial prevalence by care setting and geographical region. A total of 4464 bacterial isolates were identified, with β-hemolytic streptococci (20.6%), (15.6%), and (13.0%) being the most common. Methicillin-resistant (MRSA) accounted for 35.9% of isolates. Resistance to third- and fourth-generation cephalosporins was detected in 15.2% of isolates. Samples from clinics s...
Synovial transcriptomic biomarkers predict structural severity in equine osteochondral fragment-induced experimental osteoarthritis. Develop a global joint score (GJS) reflecting equine osteoarthritis (OA) structural severity and identify clinical or molecular parameters predicting disease severity. Unassigned: A retrospective analysis was performed using data from horses (n = 104; 58 females and 46 geldings; 2 to 5 years old) undergoing experimental OA induction via surgical osteochondral fragment creation in the middle carpal joint and high-speed treadmill exercise over 70 days. Longitudinal measures included subjective lameness examinations (lameness, effusion, and flexion), synovial fluid (SF) and serum glycosaminoglyca...
Current consensus and controversies in equine parasite control. Julia Shrubb, chair of CANTER - Controlling ANTiparasitic resistance in Equines Responsibly - takes a look at where there is currently agreement on equine parasite control practices and where debate is ongoing.
Evaluation of oxidative stress in ill neonatal foals: a preliminary study. Oxidative stress both contributes to and results from sepsis pathophysiology, but its role in ill foals remains poorly characterized. Objective: Ill foals will exhibit decreased antioxidant defense activity and increased oxidative products compared with healthy foals, and these changes will be associated with higher sepsis scores, lower survival scores, and non-survival. Methods: Twenty-six foals < 14 days old: 16 hospitalized foals (11 sick non-septic, 5 septic; median age, 1.5 days; range 1-13) and 10 healthy Standardbred foals (2 days old). Nine of 16 ill foals survived to discharge...
An unusual presentation of a sarcoid in Australia. Sarcoids are a common skin tumour affecting all equids. To date, only one case of a sarcoid in the oral cavity of the horse has been reported. In the present case, an oral sarcoid was identified using histology and polymerase chain reaction to detect bovine papillomavirus type 2 DNA. The lesion was known to be incompletely surgically excised and did not recur over a 15-month period. This case report describes the first oral sarcoid identified in Australia.
Transfer of passive immunity in foals: Can the plasma transfusion efficacy be predicted? The treatment for failure of transfer of passive immunity (FTPI) in foals with hyperimmune plasma has substantial variability of efficacy. Objective: The aims of the study were to assess the safety and efficacy of plasma transfusion and to investigate factors that may predict transfusion results, thereby allowing estimation of plasma volume requirements prior to transfusion. Methods: A retrospective review was conducted of foals admitted to an equine hospital that received a plasma transfusion for FTPI. Results: The study included 110 foals and 150 hyperimmune plasma transfusions. The median i...
Clinical Signs of Liver Disease in Horses. Clinical signs associated with liver disease in horses are often a reflection of underlying hepatic dysfunction but typically vague rather than pathognomonic. Many observed clinical signs are subtle or not recognizable in the early stages of liver disease and thus may appear acute in onset despite an underlying chronic condition. Clinical signs reported in horses with liver disease include hyporexia or anorexia, weight loss, changes in demeanor, hepatic encephalopathy, colic signs, icterus, photosensitization, diarrhea, clinical coagulopathies, ascites, peripheral edema, steatorrhea, pruritus,...
Pharmaceutical and Nutraceutical Therapies for Liver Disease. Liver dysfunction may reduce the metabolism of drugs that undergo extensive hepatic processing. This will lead to reduced clearance and elimination, and can cause accumulation of the drug, increasing the risk of toxicity. Pentoxifylline and ursodeoxycholic acid are 2 pharmaceuticals that can provide benefits for a variety of equine hepatic diseases. Nutraceuticals are frequently used in horses with hepatopathy, targeting oxidative stress, inflammation, and hepatocellular injury. Neutraceuticals such as S-adenosylmethionine, silymarin and vitamin E are most commonly used although extensive rese...
Bacteroides fragilis – an overlooked cause of abortion in the mare? A near late-term pregnant mare developed purulent vaginal discharge, fever and peripheral edema. Preterm foaling was medically induced, and the mare delivered a weak foal that was subsequently euthanized. Necropsy revealed an extensive, severe allantochoroiditis affecting the entire corpus segment. Necrosuppurative choroiditis with multiple colonies of gram-negative bacilli and suppurative bronchioalveolitis was found at histology. Anaerobic culture of the chorion revealed a mixed culture clearly dominated by Bacteroides fragilis. B. fragilis has not previously been associated with abortion in...
Impact of ununited plantar eminence of the first phalanx on early racing performance in North American Standardbreds. To determine the prevalence of ununited plantar eminence (UPE) of the first phalanx (P1) in North American Standardbreds and evaluate its association with early racing performance. Methods: Retrospective cohort study with matched sibling controls. Methods: Imaging records from 1897 yearling Standardbred horses. Methods: Screening images were reviewed for the presence of UPE and other orthopedic abnormalities. Sex, age, sire, gait, and racing performance data were obtained from the United States Trotting Association. Affected horses were compared with unaffected siblings using non-parametric te...
